Individual
MRS. KATHRYN BRIERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
2441 LAKE SHORE DR, WOODSTOCK, IL 60098-6911
(815) 338-4600
(815) 338-4611
Mailing address
2441 LAKE SHORE DR, WOODSTOCK, IL 60098-6911
(815) 338-4600
(815) 338-4611
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001198
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632066
BLUE CROSS BLUE SHIELD
IL
01
—
147001198
LICENSE
IL
Enumeration date
01/18/2007
Last updated
05/09/2012
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